Suggested Language For The Program Manager'S Exemption Certificate Form Page 3

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from _________________ (Selling Dealer’s Business Name) is purchased or leased for the
following purpose as checked in the space provided.
( ) Aircraft to be primarily used in a Fractional Aircraft Ownership Program that meets the
requirements of 14 C.F.R., part 91, subpart K, and that operates a minimum of 25 aircraft in the
program.
( ) Parts or labor used in completion, maintenance, repair, or overhaul of an aircraft that is
primarily used in a Fractional Aircraft Ownership Program that meets the requirements of 14
C.F.R., part 91, subpart K, and that operates a minimum of 25 aircraft in the program.
I understand that if I use the property or service for any nonexempt purpose, I must pay tax on
the purchase or lease price of the taxable property or service directly to the Department of
Revenue.
I understand that if I fraudulently issue this certificate to evade payment of sales tax I will be
liable for payment of the sales tax plus a penalty of 200% of the tax and may be subject to
conviction of a third-degree felony.
Under penalties of perjury, I declare that I have read the foregoing document and that the facts
stated in it are true.
Program Manager’s Name ______________________________
Program Manager’s Address_____________________________
Name and Title of Program Manager’s Authorized Representative
_____________________________________________
Sales and Use Tax Certificate of Registration No.
_____________________________________________
By ________________________________(Signature of Program Manager or Authorized
Representative)
Title_______________________________
Date_______________________________
Tax Calculations
The maximum $300 cap includes the county discretionary sales surtax (“county surtax”). The
$300 is to be distributed between the state and county, with no additional surtax due.
Example:
On or after July 1, 2010, a fractional aircraft ownership interest is purchased for $400,000 in
Florida, in a county that applies a 1% county surtax rate. For purposes of reporting, the Program
Manager takes the maximum tax and subtracts the surtax to determine the maximum state sales
tax. The county surtax applies only to the first $5,000 of the sale amount.

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